Customer Service Agent II
About The Position
HealthEdge is hiring a remote, full-time, permanent Customer Service Agent II to provide customer service to UST customers through inbound call center operations. Reporting to the Customer Service Manager, the role handles inbound and requested outbound calls, responds to inquiries within required time frames, researches claims in primary payor systems, and serves as a liaison between the claims department and providers. The service center operates from 8 a.m. to 9 p.m. Eastern Time, with related schedules. The role requires a high school degree and 2–3 years of experience in healthcare claims operations or a call center environment. Knowledge of Medicare or Medicare Advantage plans is desired. The employee should maintain a comprehensive understanding of covered plan benefits and demonstrate strong communication, attention to detail, and problem-solving skills, along with basic familiarity with Microsoft Office, especially Word and Excel. This position involves working across multiple time zones in a hybrid or remote environment, with extended periods sitting or standing in front of a computer using video technology. Occasional movement around the office and travel depending on company needs may be required. The role may require close, color, and peripheral vision, depth perception, and the ability to adjust focus. A pre-employment criminal background check may be required. The annual U.S. hourly pay range is $18–$21; final compensation depends on factors including skills, experience, qualifications, and education.
Requirements
- High school degree required.
- 2–3 years of experience in healthcare claims operations or a call center environment.
- Maintain a comprehensive understanding of covered plan benefits.
- Excellent verbal and written communication skills.
- Attention to detail and problem-solving skills.
- Basic understanding of Microsoft Office applications, especially Word and Excel.
Nice To Haves
- Knowledge of Medicare or Medicare Advantage plans.
Responsibilities
- Receive and respond to inbound phone calls for customer assistance.
- Respond to outbound phone call requests.
- Document all calls in ticketing and tracking systems.
- Respond to customer inquiries and provide data within required time frames.
- Act as a liaison between the claims department and providers.
- Research customer claims in primary payor systems.
- Ensure the highest level of customer service on every call.
- Perform other duties as assigned or necessary.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
